Individual
MUCHANETA CHIKAWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1332 SOUTHERN DR, STATESBORO, GA 30460-1360
(912) 478-4636
Mailing address
1203 TURTLE CT, STATESBORO, GA 30458-3775
(541) 912-7746
Taxonomy
Speciality
Code
Description
License number
State
246QM0706X
Medical Technologist
Primary
—
GA
Other
Enumeration date
05/28/2022
Last updated
05/28/2022
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